C10021750 / invoice 30000

Ultrasound: (Abdomen)Sonographically normal findings:Gallbladder; Right kidney; Right adrenal; Pancreas; Left kidney; Left adrenal; Gastrointestinal tract including mesenteric lymph nodes; Urinary bladder; Sublumbar lymph nodesSonographically abnormal findings:Liver - microhepatica - no focal parenchymal changesAFAST:0/4 effusionAssessment: 1. Microhepatica - Cf microvascular dysplasiaNo focal liver changes    Vital Signs    

Reason: Admit For AUS Later In The DayAppointment Notes: Home 4-5pmHistory: Recheck - microvascular dysplasiaPresent = John Olds - 6292 5179Presenting for AUS imaging today with recent increased hepatic enzymes. Examination: Weight=6.7kg. Body condition=5/9. T=38.9. HR=PR=100. RR=16. Abdomen within normal limits. Problem List: 1) Hx Chronic mild elevation ALT - first noted 12/8/2016 2) Hx Vomiting, haematochezia 18/11/20163) Microvascular Dysplasia - Dx Abnormal bile acids (post 186umol/L) 25/1/2017 - 6/2/2017 - CT scan = No vascular abnormalities or supportive evidence of a portosystemic shunt - Persistent abnormal bile acids - 13/2/2017 - Liver biopsy 28/2/2017 - Histopathology = Microvascular dysplasia4) Chronic mild ALP elevation - first noted 26/5/2021 - repeatable 18/1/20225) Hx Pancreatitis - acute vomiting, diarrhoea 30/3/2022 - Abnormal SNAP cPLiAnaesthetic: ASA grade 2Sedation - 10minutes prior to imaging:1) Butorphanol 0.15mg/kg IV Ultrasound: see next entryAssessment: > No focal liver abnormalities> MicrohepaticaPlan: 1) Urine UCCR pending IDEXX (Code UCC) Current Medications: 1) Periactin 1/2tab PO sid PRN – regular vets2) Diet = 100g Hepatic canned (fat 4.0%); 50g GLF (fat 1.7%); 30g Veggies; 30g Kibble (fat 16.0%)3) Nutraceutials = noneOwner Communication: 1) Contact person = John Olds - 6292 5179    Vital Signs    Weight: 6.7;       

Owner Communication: 1) Contact person = John Olds - 6292 51792) 10/3/2026 Message: Urine In Reception FridgePlan: 1) Recommend proceed with AUS - booked in as admit 12/3/20262) Urine to IDEXX for UCCR (Code UCC) - SENTCurrent Medications: 1) Periactin 1/2tab PO sid PRN – regular vets2) Diet = 100g Hepatic canned (fat 4.0%); 50g GLF (fat 1.7%); 30g Veggies; 30g Kibble (fat 16.0%)3) Nutraceutials = none    Vital Signs